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精神障碍住院患者与睡眠相关的元认知

Sleep-related metacognitions in inpatients with mental disorders.

作者信息

Anzenberger Elisabeth, Schredl Michael, Schilling Claudia

机构信息

Sleep laboratory, Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Zentralinstitut für Seelische Gesundheit, Postfach 12 21 20, J5, 68159, Mannheim, Germany.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2025 Aug 5. doi: 10.1007/s00406-025-02073-1.

Abstract

BACKGROUND

Sleep difficulties are a well-known issue among patients with mental disorders. Sleep related metacognitions often play a role in the etiology of sleep disturbances. This study examined the role of sleep-related metacognitions in a sample of psychiatric inpatients.

METHODS

A total of 75 patients admitted to the psychiatric clinic of the Central Institute of Mental Health (CIMH) in Mannheim, Germany, were included in the study. The participants completed a series of psychometric questionnaires, including the Metacognitive Questionnaire for Insomnia (MCQ-I 20), the Patient Health Questionnaire (PHQ-9) and the Insomnia Severity Index (ISI).

RESULTS

The psychiatric patient sample exhibited significantly elevated scores on the MCQ-I 20 when compared to a healthy control group and demonstrated comparable scores to a group of insomnia patients. Sleep-related metacognitions in the psychiatric patient sample correlated significantly with increased depression levels and insomnia symptoms.

CONCLUSIONS

The findings of this study provide evidence that sleep-related metacognitions play a role in the etiology of sleep problems in patients with mental disorders.

摘要

背景

睡眠困难是精神障碍患者中一个广为人知的问题。与睡眠相关的元认知常常在睡眠障碍的病因中起作用。本研究调查了与睡眠相关的元认知在一组精神科住院患者中的作用。

方法

共有75名入住德国曼海姆中央精神卫生研究所(CIMH)精神科诊所的患者纳入本研究。参与者完成了一系列心理测量问卷,包括失眠元认知问卷(MCQ-I 20)、患者健康问卷(PHQ-9)和失眠严重程度指数(ISI)。

结果

与健康对照组相比,精神科患者样本在MCQ-I 20上的得分显著升高,且与一组失眠患者的得分相当。精神科患者样本中与睡眠相关的元认知与抑郁水平升高和失眠症状显著相关。

结论

本研究结果提供了证据,表明与睡眠相关的元认知在精神障碍患者睡眠问题的病因中起作用。

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